Took the history again with @PPM3's help:
Two years back, first episode her husband noticed that suddenly while doing housework she started rotating along with pill rolling movements of her fingers in both hands and then after few rotations she fell down and became unconscious and recovered in 5 minutes spontaneously.
Second episode 3 months later while cooking she kept holding the hot vessel with one hand and fell on her cheeks followed by spontaneous recovery
Third episode, one month later after serving lunch for her husband, she became unconscious and then once she recovered she again insisted on his having lunch.
Since the last two years she keeps having similar episodes once every month and was once admitted here with us one year back when we diagnosed her to have subdural hematoma.
She was on AEDs since 2 years but stopped since last three months.
The last episode 3 days back, husband sleeping on the floor, observed her cot shaking at 4:00 AM and thinking it was a storm he asked her to go and close the door and after an hour later when he woke up and found she hadn't closed the door and discovered her unresponsive on bed along with paralysis of her right upper and lower limbs. Will also try to fish out the previous admission EMR summary.
[13-03-2025 08.18] PPM 1:
Yesterday's afternoon ward:
44F with recurrent temporal lobe epilepsy since two years and current admission with right hemiparesis
and attached MRI showing large left middle cerebral artery infarction with MR angio showing
complete cut off of the stem of the left middle cerebral artery @PPM2
@PA I'm unable to completely grasp the history of two years from her husband and while it appears to
be complex partial seizures with secondary generalization suggesting temporal lobe localisation since
two years before her current admission with right hemiparesis, I would be grateful if you can talk to the
relative on the mobile number of her pmed consent form and share a textual version of the history in
the husband's own language mentioning the details of his narrative without being biased by the
diagnosis etc which I shared above.
[15-03-2025 09.29] PPM 1:
Yesterday's afternoon session
for the patient discussed earlier.
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